摘要
目的:探讨膈肌训练在改善脑卒中后疲劳(PSF)患者运动功能及日常生活活动能力中的作用。方法:选取2015年3月~2016年3月在某院收治的80例PSF患者,随机平均分为两组,各40例,对照组予以常规护理,干预组予以常规护理辅以膈肌功能训练,分别于干预前、干预30d后选用肺功能检查评定患者呼吸功能、FMA评定量表评定患者运动功能以及MBI量表评定日常生活活动能力。结果:于治疗30d后,干预组患者FEVl、VC、MVV及FVC等呼吸功能指标均优于干预前(P<0.05),且提升程度显著高于对照组(P<0.05),且其中MVV的提升幅度最为显著,差异具有统计学意义(P<0.05);干预组护理30d后,患者FMA及MBI量表评分均显著高于护理前,且改善程度明显优于对照组(P<0.05)。结论:膈肌训练可促进脑卒中后疲劳患者呼吸功能的恢复,具有良好的临床疗效,可在基层医院中广泛推广。
Objective：To explore the role of diaphragmatic training in improving motor function and daily living activity in patients with post-stroke fatigue（PSF）.Methods：80 cases of PSF patients admitted from March 2015 to March 2016 were randomly divided into two groups with 40 cases in each group.The control group was treated with conventional nursing and the intervention group was treated with diaphragm training based on conventional nursing.Before and at 30 th day after the intervention,pulmonary function test was used to assess the respiratory function of the patients,the FMA rating scale was used to evaluate the motor function and the MBI scale was used to assess the daily living activity.Results：After 30 days of treatment,the respiratory function indexes of FEV1,VC,MVV and FVC in the intervention group were better than those before the intervention（P〈0.05）,and the degree of lifting was significantly higher than that of the control group（P〈0.05）.After 30 days of treatment,the scores of FMA and MBI were significantly higher than those of the control group,and the improvement degree was better than that of the control group（P〈0.05）,and the improvement of MVV was the most significant and the difference was statistically significant（P〈0.05）.Conclusion：Diaphragmatic training can promote the recovery of respiratory function in patients with post-stroke fatigue,and has good clinical curative effect and can be widely promoted in primary hospital.
出处
《数理医药学杂志》
2017年第10期1563-1564,共2页
Journal of Mathematical Medicine
